| NPI | 1992133151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE L DIETCHMAN Owner/Member 816-716-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 01720) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: KS 1464) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2016-07-19 |